Write a review

Botox Ruined my Smile - Droopy Mouth Corner

I had botox meant to be in the chin area to lift...

I had botox meant to be in the chin area to lift the mouth corners. I have had this done before with no problems but I must admit it felt a bit higher. I also had filler put there at the same time and I think it caused the botox to migrate.

I started to feel that I couldnt smile properly after a few days, went back and they said there was very slight asymmetry. It's been 2 weeks and my upper right lip won't work and it feels like the muscle has wasted. The other side of my face is compensating and is firm yet my right side is sagging, especially around the mouth, which was what I was trying to correct, only now it is worse. I can just smile but at rest, my face is saggy, all the skin is loose.

I'm only 28 and I have to wait till it wears off and I am so scared that others will notice. I begged them to see me again and have asked if they can put some filler to lift it a bit and disguise the sagging. Will this help do you think?

I fear that my smile will never get back to what it was. I don't want to leave the house. I'm worried that all the tissue in my cheek will waste away. I am never doing botox here again, it's not worth it.

Anyone experienced this?
Was this review helpful? 2 others found this helpful

Comments (19)

Sort by

@Mel : Can you please share your facial exercise program to give balance back to the mouth muscles? Thank you.

  • Reply
Yah I've seen pain specialist and this was the last resort before another surgery.. My pcp is trying to get me into a well known pain clinic so keeping my fingers crossed!! Thank u for the advise:) U all r wonderful!
  • Reply
Hi, I hope you are ok. The effects will wear off but it does take time. I would definitely stay away from the Botox now. I wondered whether you have ever seen a pain specialist and had something called neuromodulation or any local anaesthetic injections? If not then maybe try those? Although my Botox wore off, some results were left behind which I didn't like. This is because the Botox weakens the muscle and then others around it become stronger. I am only now correcting this by doing a very good facial exercise program which has actually stated to improve things more than I could have hoped. Anyway, another thought, have you tried osteopathy? I'm seeing one for my jaw and she is amazing. Keep your chin up, lots of hugs xxxx
  • Reply
Glad u do not have a muppet face anymore:-/ no it has not helped so far.. But I have to stay positive but thank u all for the support I feel like I'm not alone in this now:)
  • Reply
I just received Botox for trigeminal and occipital neuralgia.. I am only 29 it was not for cosmetic reason but for medical reasons to decrease the severe pain I had.. It is frustrating cause 9 days after my injection my left side of my mouth and just below my cheek bone is droopy and yes, I notice it more than others and it is very discouraging when u r told this will work and not explained the side effects.. I was told by the dr it will take months to come back and these blogs have been helpful cause I was super down on myself.. I have had this pain for 9 yrs now.. I have had trigeminal decompression surgery and that was useless.. So Botox was last resort till I get the nerves severed hopefully these will work..
  • Reply
I'm so sorry for your pain. I hope the botox was at least effective for the pain although it stinks that it resulted in a droopy mouth. My side effects have completely worn off, so I no longer have the bucked tooth muppet mouth I was sporting. I am sorry you had to have botox to reduce your pain for a medical condition. I hope your doctors will be able to find a better solution for you. Take care...
  • Reply
Botox takes about 5 days to start working. To tell if it is working one looks at the muscle function. Usually the muscle function is minimal or absent. If the diagnosis is Bells Palsey then you deed immediate treatment to prevent permanent damage to the nerve
  • Reply
how can you tell early on if botox has worked well around the mouth and chin area
  • Reply
I think it is important to differentiate between Bell's Palsey and the effect of Botox. Bells Palsey need aggressive treatmnt, it can leave certain muscles pemanently See a Neurologist
  • Reply
Bell's palsy (or facial palsy) is characterized by facial drooping on only one side of the face. The drooping is due to malfunction of the facial nerve (VII cranial nerve), which controls the muscles of the face. This condition results in a drooping of the mouth and/or eye lid of one side of the face. The onset of Bell’s palsy often occurs overnight with no known cause or previous diagnosis. There is some thought that it could occur as a result of trauma to the face or a viral infection, but usually there is no definite diagnosis. Fortunately, Bell’s palsy disappears as quickly as it appeared, over night. However, the condition usually lasts 4-6 weeks.
  • Reply
Well, I think that would be a funny coincidence if it was bells palsy, considering you just had the botox on that left side and then it happened. I just think that sometimes the doctors dont want to take responsibility for it. I look worse than ever at the moment. Still no sign of my muscle coming back. On top of that, the filler has migrated making the situation a lot worse. I think I may need it dissolved. At the moment I feel like I am living in hell. I had the botox in my chin but I have had it for the crows feet with no problems in the past. I do know that the muscle which controls the upper lip is near where crows feet are injected and so it is very possible that the botox has caused your problems. Good luck, hope you problems solve soon.
  • Reply
Hello - I have only used Botox for about a year and I am in my early 50's. This last time, I had it done for crows feet and furrows and got a big bruise on the left side of my face. About a week later, I looked at a photo of myself and my left lip was seriously sagging - as if I had a stroke or something. My left cheek also appeared to be sagging more than the other side. I wondered if the Botox had migrated or if the injection was too deep. I went back to my treating doctor, who did an exam and said it was not the Botox, but that I have a case of Bell's Palsy and prescribed medications: Prednisone for five days and acyclovir for 7 days. Admittedly I am having difficulty accepting the diagnosis. I would like to hear how you can tell the difference between the effects of Botox on crooked lips and Bell's Palsy. Appreciate any feedback and counsel. Thank you and let's hope all our lips can get back to normal.
  • Reply
I appreciate what you are saying but I did go to a doctor who I have been to before with no problems. Now, I am too scared to ever have anything done again. My life is on hold. I know people are worse off but that doesn't help. I wish I had never been so vain. It has been nearly six weeks and no sign of the botox wearing off. I just want to be able to smile properly again and get rid of the loose skin. I went to see someone else and they told me that the doctor went too medially and that is why I can't smile, and it is not my upper lip that is paralysed but that it is my upper lip that is compensating. Now I have a deep groove at the side of my mouth, I look awful. Just in time for Christmas, great.
  • Reply
Hi Mels. It is 2 alost 2 years now. Did you face get back to normal. I am asking because I am experiencing exactly the same problem right now.
  • Reply
V32... I am having the same problem and am scared to death that my smile will never return to normal. I liked how I looked but vanity caused me to want to slow down the aging of my mouth. You are several months out... Please tell me you are doing better and your smile has returned to normal?
  • Reply
Hi Gbeana,

I had the botox with the bad effect in my mouth in October and althought it is only 4 months, I can confirm that the results are gone, I have no side effects and my smile is back to normal. I know that it is really hard to watch an image in the mirror that, it is practicaly not you but it really helps to know for sure that it is not permanent. I am back to what I used to look now. Try also to stay calm to the fact that each side might loose the effect gradualy and you may see for example that your left side is healing better than the right -mine was like that- but again fortunately when botox is all gone they look again normal.
  • Reply
Botox works very well however it is technique dependant, The physician or whoever is injecting Botox has to have the knowledge of the muscles of the face completely.Plastic surgeons deal with these muscles and their function in cosmetic and reconsrtructive cases. Botox works well for the frawn lines, smile lines, forehead lines. It starts working in about 5 days and peaks at 2 weeks.When it comes to the lip line and elevation of the corner of the mouth and elevation of the brow, then you need the experts This is advanced course Botox and can not be done by any body. Make sure especially in these areas that the injector is an experienced plastic surgeon who knows these advanced techniques . If for saving some money you had a Nurse or an "INJECTOR" do that you will be disappointed.Many factors are important in the use of botox, experience, the dilution of Botox, how long the botox has been sitting in thr refrigirator before it was used on you. Botox should be a single use only with shelf life of 4 hours.Some are reusing the same vial for multiple patients, meanwhile Botox is sitting in the frig. for weeks.SO THAT YOU SAVE A LITTLE MONEY. There is fake Botox on the market. bware, then some buy Botox from Canada, is ti really from Canada or Fake Chineese? We buy directly from the U.S. company not even from a middle man. The Doctor is the only one who can inject any thing, Botox, fillers etc.One vial one patient. you may pay extra, but SAFETY and EXPERIENCE. That is true for any procedure. BUYER BE WARE. ASK QUESTIONS before the procedure.
  • Reply
Well, it has been 4 weeks now and still no change, in fact I look worse. This is killing me. I have been working but people keep giving me funny looks and asking if I am ok. Both cheeks are saggy but one corner of my mouth is worse still. My upper lip wont smile and i can't lift up the corners of my mouth. I feel like I am in a living hell and don't want to see people. I have more wrinkles where my upper lip won't work. I don't ever see my face going back to normal. I would do anything to go back. The doctor said it had never happened before, well why did it have to happen to me? How are you? Have you gone back to normal yet? I told my mum what I did and she said that it isn't noticeable but I know my own face and I think she just wants to make me feel better.
  • Reply
Your story is like so many others on here. Botox works fine then it just doesn't. Someone on here described it as a 'crap shoot' and I agree. There are just so many people who write about how they have gone back to the same injector time and again with no problem but then suddenly everything goes wrong. It happened to me too. DON'T PANIC! And don't chase the problem by having more stuff done. It doesn't work and honestly will only make it all worse. Trust me. YOUR BEST DECISION WILL BE TO DO NOTHING. I know it is hard but wait it out. And believe me, it is way more obvious to you than it is to anyone else. Hang in there and keep us posted. Cheers.
  • Reply